Organization
THE PERMANENTE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE H MUKAI (CRNA)
(925) 295-5299
Entity
Organization
Contact information
Practice address
2755 4TH ST, SANGER, CA 93657-4206
(559) 970-9419
Mailing address
2755 4TH ST, SANGER, CA 93657-4206
(559) 970-9419
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
3587
CA
Other
Enumeration date
01/26/2008
Last updated
01/26/2008
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